Davidson, Carla Marie

Davidson, Carla Marie is an individual health care provider with primary practice located at 8253 White Oak Ave , Rancho Cucamonga CA 91730-7671. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davidson, Carla Marie can be contacted via phone (909) 987-1997.

Contact Information

Primary practice address
8253 White Oak Ave Rancho Cucamonga CA 91730-7671
Phone: (909) 987-1997
Fax: (909) 987-0993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 20719 California

Profile Details

NPI number 1114977121
LBN Legal business name Davidson, Carla Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114977121 NPPES
California Other 20719 PROFESSIONAL LICENSE

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